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Talk to your doctor before starting if you: Are allergic to B12 Have optic nerve issues (optic atrophy) Have blood in urine or polycythemia Are pregnant, breastfeeding, or trying to conceive Have low iron or folate, or an active infection Dosage, Concentration, Route of Administration Dosage: Always follow the guidance of a licensed medical provider for the correct dosage

Heres what we suggest for these patients: Give them high doses of vitamin B12 (1000-2000 mcg) often (daily or weekly) at first Consider Tiaminal B12 injections, which have both thiamine and B12 Watch their symptoms closely and adjust treatment as needed Experts say that High-dose vitamin B12 therapy can lead to significant improvements in neurological function in patients with deficiency-related neuropathy. In short, customizing B12 injection plans for the elderly and those with neurological issues is key